@php $editing = isset($prescriber) @endphp

<div class="row">

    <div class="mb-3 col-md-2">
        <label class="form-label" for="health_structure_id">Structure de santé</label>
        <select class="form-control " name="health_structure_id" id="health_structure_id">
            @php
                $reflector = new ReflectionClass(\App\Enums\PrescriberTitles::class);
                $constants = $reflector->getConstants();
            @endphp
            @foreach($constants as $constant => $value)
                <option value="{{$value->value}}">{{$value->value}}</option>
            @endforeach
        </select>
    </div>
    <x-inputs.group class="col-sm-12 col-md-4">
        <x-inputs.text
            name="first_name"
            label="Prénom"
            :value="old('first_name', ($editing ? $prescriber->first_name : ''))"
            maxlength="255"
            placeholder="Prénom"
            required
        ></x-inputs.text>
    </x-inputs.group>

    <x-inputs.group class="col-sm-12 col-md-4">
        <x-inputs.text
            name="last_name"
            label="Nom"
            :value="old('last_name', ($editing ? $prescriber->last_name : ''))"
            maxlength="255"
            placeholder="Nom"
            required
        ></x-inputs.text>
    </x-inputs.group>

    <div class="mb-3 col-md-2">
        <label class="form-label" for="matricule">Code Médecin</label>
        <input type="text"  style="background-color: lightgray" readonly value="{{old('matricule', ($editing ? $prescriber->matricule : 'MED0023'))}}" name="matricule" id="matricule" class="form-control" placeholder="">
    </div>


   <div class="col-md-6 row">
       <x-inputs.group class="col-sm-12 col-md-6">
           <x-inputs.select name="speciality_id" label="Spécialité" required>
               @php $selected = old('speciality_id', ($editing ? $prescriber->speciality_id : '')) @endphp
               <option disabled {{ empty($selected) ? 'selected' : '' }}>Selectionnez une spécialité</option>
               @foreach($specialities as $value => $label)
                   <option value="{{ $value }}" {{ $selected == $value ? 'selected' : '' }} >{{ $label }}</option>
               @endforeach
           </x-inputs.select>
       </x-inputs.group>

       <div class="mb-3 col-md-6">
           <label class="form-label" for="telephone">Téléphone</label>
           <input type="text" value="{{old('telephone', ($editing ? $prescriber->telephone : ''))}}" name="telephone" id="telephone" class="form-control" placeholder="">
       </div>



       <div class="mb-3 col-md-6">
           <label class="form-label" for="email">Email</label>
           <input type="email" value="{{old('email', ($editing ? $prescriber->email : ''))}}" name="email" id="email" class="form-control" placeholder="">
       </div>


       <div class="mb-3 col-md-6">
           <label class="form-label" for="health_structure_id">Structure de santé</label>
           <select class="form-control " name="health_structure_id" id="health_structure_id">
               @foreach(\App\Models\HealthStructure::all() as $structure)
                   <option value="{{$structure->id}}">{{$structure->name}}</option>
               @endforeach
           </select>
       </div>
   </div>

    <div class="col-md-6">
        <label class="form-label" for="note">Remarque</label>
        <textarea class="form-control" name="note" id="note" rows="6">{{old('note', ($editing ? $prescriber->note : ''))}}</textarea>
    </div>
</div>